NPIMap

Organization Active NPI

All-Star Orthopeadics

  • Physical Therapy Clinic/Center
  • Southlake, TX
National Provider Identifier
1871243634
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ALL-STAR ORTHOPEADICS
Practice address
910 E Southlake Blvd Ste 155
Southlake, TX 76092-6389
Phone
(501) 580-8352
NPI assigned
Mar 25, 2022
Last updated
Mar 25, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CASTLE SURGICAL MANAGEMENT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicole Tate
Title
Credentialing
Phone
(817) 200-6492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

910 E Southlake Blvd Ste 155
Southlake, TX 76092-6389

Mailing address

901 W Bardin Rd Ste 100
Arlington, TX 76017-6000
Phone (817) 200-6492

National Provider Directory

National Provider Directory
Tax ID family
All-Star Orthopaedics10 organizations share this tax ID, including this one
Part of
All-Star Orthopaedics

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1871243634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W BARDIN RD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760176000",
            "telephone_number": "817-200-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E SOUTHLAKE BLVD STE 155",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926389",
            "telephone_number": "501-580-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL-STAR ORTHOPEADICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASTLE SURGICAL MANAGEMENT LLC",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "817-200-6492"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.